中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
19期
13-14
,共2页
医院感染%含氯消毒剂%碘伏%细菌污染%终端氧气插孔
醫院感染%含氯消毒劑%碘伏%細菌汙染%終耑氧氣插孔
의원감염%함록소독제%전복%세균오염%종단양기삽공
Nosocomial infection%Chlorinated disinfectant%Iodophor%Bacterial pollution%Oxygen jack terminal
目的:分析我院神经外科终端氧气插孔细菌污染情况调查及消毒前后效果。方法入选我院2013‐05—2014‐04神经外科终端氧气插孔180个,对所有插孔进行消毒前采样,根据随机数字表法分为研究组、对照组,每组90个,研究组采取0.5%碘伏消毒10 min ,对照组以500 mg/L含氯消毒剂消毒10 min ,评估所有插孔消毒前细菌污染情况;比较两种消毒方式消毒前后的效果。结果消毒前终端氧气插孔180份样本细菌污染50份(27.8%),其中蜡样芽孢杆菌5份(2.8%),枯草芽孢杆菌20份(11.1%),大肠杆菌6份(3.3%),铜绿假单胞菌5份(2.8%),变形杆菌4份(2.2%),产碱假单胞菌6份(3.3%),肠球菌2份(1.1%),表皮葡萄球菌1份(0.6%),奈瑟球菌1份(0.6%);消毒前研究组有菌样本24份(26.7%),无菌样本66份(73.3%);对照组有菌样本26份(28.9%),无菌样本64份(71.1%);组间比较差异无统计学意义( P>0.05);消毒后研究组有菌样本4份(4.4%),无菌样本86份(95.6%),对照组有菌样本17份(18.9%),无菌样本73份(81.1%),差异有统计学意义(P<0.05)。结论神经外科中心输氧终端氧气插孔的细菌出现较严重污染,氧气表安装前,需对输氧终端插孔予以消毒,予以0.5%碘伏消毒剂可简便操作,且消毒效果更佳,值得临床推广。
目的:分析我院神經外科終耑氧氣插孔細菌汙染情況調查及消毒前後效果。方法入選我院2013‐05—2014‐04神經外科終耑氧氣插孔180箇,對所有插孔進行消毒前採樣,根據隨機數字錶法分為研究組、對照組,每組90箇,研究組採取0.5%碘伏消毒10 min ,對照組以500 mg/L含氯消毒劑消毒10 min ,評估所有插孔消毒前細菌汙染情況;比較兩種消毒方式消毒前後的效果。結果消毒前終耑氧氣插孔180份樣本細菌汙染50份(27.8%),其中蠟樣芽孢桿菌5份(2.8%),枯草芽孢桿菌20份(11.1%),大腸桿菌6份(3.3%),銅綠假單胞菌5份(2.8%),變形桿菌4份(2.2%),產堿假單胞菌6份(3.3%),腸毬菌2份(1.1%),錶皮葡萄毬菌1份(0.6%),奈瑟毬菌1份(0.6%);消毒前研究組有菌樣本24份(26.7%),無菌樣本66份(73.3%);對照組有菌樣本26份(28.9%),無菌樣本64份(71.1%);組間比較差異無統計學意義( P>0.05);消毒後研究組有菌樣本4份(4.4%),無菌樣本86份(95.6%),對照組有菌樣本17份(18.9%),無菌樣本73份(81.1%),差異有統計學意義(P<0.05)。結論神經外科中心輸氧終耑氧氣插孔的細菌齣現較嚴重汙染,氧氣錶安裝前,需對輸氧終耑插孔予以消毒,予以0.5%碘伏消毒劑可簡便操作,且消毒效果更佳,值得臨床推廣。
목적:분석아원신경외과종단양기삽공세균오염정황조사급소독전후효과。방법입선아원2013‐05—2014‐04신경외과종단양기삽공180개,대소유삽공진행소독전채양,근거수궤수자표법분위연구조、대조조,매조90개,연구조채취0.5%전복소독10 min ,대조조이500 mg/L함록소독제소독10 min ,평고소유삽공소독전세균오염정황;비교량충소독방식소독전후적효과。결과소독전종단양기삽공180빈양본세균오염50빈(27.8%),기중사양아포간균5빈(2.8%),고초아포간균20빈(11.1%),대장간균6빈(3.3%),동록가단포균5빈(2.8%),변형간균4빈(2.2%),산감가단포균6빈(3.3%),장구균2빈(1.1%),표피포도구균1빈(0.6%),내슬구균1빈(0.6%);소독전연구조유균양본24빈(26.7%),무균양본66빈(73.3%);대조조유균양본26빈(28.9%),무균양본64빈(71.1%);조간비교차이무통계학의의( P>0.05);소독후연구조유균양본4빈(4.4%),무균양본86빈(95.6%),대조조유균양본17빈(18.9%),무균양본73빈(81.1%),차이유통계학의의(P<0.05)。결론신경외과중심수양종단양기삽공적세균출현교엄중오염,양기표안장전,수대수양종단삽공여이소독,여이0.5%전복소독제가간편조작,차소독효과경가,치득림상추엄。
Objective To investigate the bacterial pollution for oxygen jack terminals in our neurosurgery department and disinfection effects. Methods 180 oxygen jack terminals applied from May 2013 to April 2014 in our neurosurgery department were selected.Before disinfection ,all the jacks were taken samples and randomly divided into research group and control group , 90 cases each group. The research group was treated with 0.5% iodophor for 10min ;control group was treated with chlorinated disinfectants for 10min. Before disinfection ,the bacterial pollution for jacks was assessed ;the disinfection effects of two groups were compared.Results Before disinfection ,there were 50 (27.8% )infected samples ,including 5 cases(2.8% ) with bacillus cereus ,20 cases (11.1% ) with bacillus subtilis ,6 cases(3.3% ) with Escherichia coli ,5 cases (2.8% ) with pseudomonas aeruginosa ,4 cases(2.2% ) with proteusbacillus vulgaris ,6 cases(3.3% ) with pseudomonas alcaligenes ,2 cases(1.1% ) with enterococcus ,1 case(0.6% ) with staphylococcus epidermidis and 1 case (0.6% ) with neisseria. Before disinfection ,the re‐search group had 24 (26.7% )bacterial samples and 66(73.3% )sterile samples ;the control group had 26 (28.9% ) bacterial samples and 64(71.1% ) sterile samples (P> 0.05) ;After disinfection ,the research group had 4 (4.4% )bacterial samples and 86 (95.6% ) sterile samples ;control group had 17(18.9% ) bacterial samples and 73(81.1% )sterile samples (P< 0.05). Con‐clusion In the neurosurgery department ,the oxygen jack terminals appear the severe bacterial pollution.Before installation of oxygen meter ,the oxygen jack terminal shall be disinfected with 0.5% iodophor sanitizer in an easy and better manner. It is worthy of clinical promotion.